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Delaware General AssemblyDelaware RegulationsMonthly Register of RegulationsJanuary 2017


Regulatory Flexibility Act Form

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§1902(a)(19) of the Social Security Act, Care and services under a Medicaid state plan be provided in a manner consistent with simplicity of administration and the best interests of beneficiaries
§1927 of the Social Security Act, Payment for Covered Outpatient Drugs
42 CFR §440.210, Required services for the categorically needy; family planning services
42 CFR §441.20, Family Planning Services and Supplies
42 CFR §440.120, Prescribed drugs
42 CFR §447.45, Timely claims payment
In accordance with the federal public notice requirements established at Section 1902(a)(13)(A) of the Social Security Act and 42 CFR 447.205 and the state public notice requirements of Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical Assistance (DMMA) gives public notice and provides an open comment period for thirty (30) days to allow all stakeholders an opportunity to provide input on the expansion of existing nondiscrimination protections to be all-inclusive and to ensure compliance with Federal Regulation. Comments must be received by 4:30 p.m. on January 31, 2017.
The Health Care Financing Administration (HCFA) requires that Federally Qualified Health Centers (FQHCs) be reimbursed in compliance with the Benefits Improvement and Protection Act (BIPA) of 2000. Effective January 1, 2001, Delaware will pay 100% of reasonable cost based on an average of the Fiscal Year 1999 and 2000 audited cost report.
The Delaware Medical Assistance Program (DMAP) requires that a new provider submit a cost report so that a rate based on reasonable costs can be established. Any new FQHC/RHC will be capped at 100% of the highest rate that Medicaid pays to a FQHC for the initial rate year.
X The rate year for FQHC services is July 1 through June 30.
X The payment methodology for FQHCs will conform to section 702 of the BIPA 2000 legislation.
Last Updated: December 31 1969 19:00:00.
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